Khadijatu E Allen, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

44669 Issued in GA

Practice address

204 E 15TH St
Alma, GA 31510

Phone

(912) 632-2952

Fax

(912) 632-8682

NPI assigned

May 26, 2006

Last updated

Jun 15, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Erx Group, LLC

  • Emergency Medicine Physician
  • Alma, GA
  • NPI 1760823082
  Medicare reassignment
• Del Medical Associates Inc

  • Sleep Medicine (Internal Medicine) Physician
  • Jacksonville, FL
  • NPI 1942480850
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529020800000",
    "number": "1235185455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 E 15TH ST",
            "city": "ALMA",
            "state": "GA",
            "postal_code": "315102908",
            "telephone_number": "912-632-2952",
            "fax_number": "912-632-8682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 E 15TH ST",
            "city": "ALMA",
            "state": "GA",
            "postal_code": "31510",
            "telephone_number": "912-632-2952",
            "fax_number": "912-632-8682"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1205 Van Streat Hwy",
            "address_purpose": "LOCATION",
            "city": "Nicholls",
            "state": "GA",
            "postal_code": "315545025",
            "country_code": "US",
            "telephone_number": "912-345-2474",
            "fax_number": "912-345-5620",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "KHADIJATU",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-26",
        "last_updated": "2018-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "44669",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "44669",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00963344B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051722401",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Khaldon A Al Saadi, M.D.
• Alma Discount Pharmacy Inc
• Alma Family Dentistry
• Alma Sleep Center LLC
• American Oncology Partners, P.a. (Low Country Cancer Care)
• Kymberly D Anderson, NP

• Internal Medicine Physician in Alma, GA
• Providers in Alma, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.